This is a legal form that was released by the Nevada Department of Health and Human Services - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form FA-31E?
A: Form FA-31E is the Provider Enrollment Application specifically for Ordering, Prescribing or Referring (OPR) Providers in Nevada.
Q: Who should use Form FA-31E?
A: OPR Providers in Nevada should use Form FA-31E to enroll in the provider network.
Q: What is an OPR Provider?
A: An Ordering, Prescribing or Referring (OPR) Provider is a healthcare professional who can order, prescribe, or refer services for patients.
Q: Why do OPR Providers need to enroll?
A: OPR Providers need to enroll to be recognized by the provider network and receive payments for the services they order, prescribe, or refer.
Q: What information is required in Form FA-31E?
A: Form FA-31E requires information about the provider's personal details, professional credentials, and authorization for general healthcare services.
Q: How long does it take to process Form FA-31E?
A: The processing time for Form FA-31E varies. It is recommended to submit the application well in advance to allow for any processing delays.
Q: What should I do if there are errors or omissions in my Form FA-31E?
A: If there are errors or omissions in your Form FA-31E, you should contact the enrollment department to rectify the situation.
Form Details:
Download a fillable version of Form FA-31E by clicking the link below or browse more documents and templates provided by the Nevada Department of Health and Human Services.